Contraception and Sexual Health - Oxford Brookes University

Anette Du PlooyProgramme AdministratorJack Straw’s LaneMarstonOxford OX3 0FLTel: +44 (0)1865 482589 Fax: +44 (0)1865 482775email: familyplanning@brookes.ac.ukwww.brookes.ac.ukWe are really pleased that you are interested in Contraception and Sexual Health atthe School of Health and Social Care, Oxford Brookes University.To help you through the application process there is a checklist in this pack whichhighlights everything that you will need to return to us in order to be considered for aplace.Application formYou will see from the front of the application form that there are the usual requestsfor information that you will be accustomed to. However, it is important you look onthe back page as well and take care to fill in all the compartments.ReferenceWith regard to a reference you will see that we provide a ‘manager’s support’ form.This form is designed to save time in your clinical area and replaces the traditionalwritten reference. You do not need to name an additional referee on the applicationform.FundingYou need to fill in the form and tick one of the options regarding funding.At www.Brookes.ac.uk you will find further information about studying at our School.Programmes at the School of Health and Social Care are consistently given highratings in Quality Assurance Agency reviews. As we receive a high volume ofapplications, we recommend that you read the information provided closely and actearly in order to avoid disappointment.If you have any specific questions that are not covered in this application pack or onthe web, then please feel free to contact me via emailfamilyplanning@brookes.ac.uk, or by phone on 01865 482589. My hours of work are8.00am – 4.45pm Mon-Thurs; 8.00am – 12.00pm Friday.We look forward to hearing from you and assisting you in making your decision.Kind regardsAnette Du Plooy

Checklist of Documents in this Mailing, Contraception andSexual HealthItemCovering letterGeneral Course InformationApplication FormManagers Reference FormsFunding Statement--------------------------------------------------------------------------------------------------------Checklist of Documents to Return with your ApplicationItemApplication FormManagers Reference FormsFunding StatementIf you can tick all the above boxes you are ready to return your applicationform.

Contraception and Sexual Health(Application (Course code Code SFH) SFI)(Formerly Family Planning in Practice)Key detailsThe Contraception and Sexual Health (C&SH) short course team believes health workers should take anactive role in promoting health and meeting the particular needs of patients/clients who attend for familyplanning and/or sexual health screening services. To enable this, health workers become a resourceand provide opportunities for clients to be confident in their choice of contraceptive method as well ascompetent in taking responsibility for their own reproductive and sexual health.The course comprises of 2 single (s) modulesModule U44240 Human Fertility and Contraception (s)Module U44241 Contraception and Sexual Health Practice (s).The course will normally be taken in one year, or over two years depending on your commitments (byarrangement only). Successful completion of this course allows you to exit with the short course Awardin Contraception and Sexual Health Worth 30 CATS Credits at Advanced Level.Knowledge and Skills FrameworkThis short course relates to all the NHS KSF core and selected specific health & wellbeing dimensions.Completion of the short course will assist you in the production of evidence against these dimensions.This will support the achievement of your personal & professional objectives identified at appraisal.MODULE DESCRIPTIONSHUMAN FERTILITY AND CONTRACEPTIONModule U4424015 CATS Credits at Advanced LevelSemester 11 full week, dates to be announced150 hours of student effort incl.24 hours university contact timeTeaching is delivered in OxfordThis single theoretical module will enable you to explorethe implications of human fertility and its effect onindividual and family health, and its wider context tosociety and the world population.All methods of contraception are discussed andevaluated and you will be able to investigate the healthservices available to the local population with a particularemphasis on contraception.The module assessment comprises:A critical, evidence based essay and a shortanswer paper.SHSC/CMU: Short course – Family Planning in Practice (100325)

CONTRACEPTION AND SEXUAL HEALTH PRACTICEModule U44241Note: Module U44240 is apre-requisite to this module.15 CATS Credits at Advanced LevelSemester 21 skills suite session1 study and 1 half day own study28 hours family planning practice –8 sessions in clinical practice inOxfordshire C&SH clinics.150 hours of student effort incl.university and clinical timeThis single practice-based module gives you anopportunity to develop the knowledge and specific skillsnecessary to help clients choose and use any of therange of methods of contraception. You will be allocatedto a mentor and will practise using knowledge and skillsin a variety of clinical areas. You will explore further theimplications of fertility and its control and demonstratecompetence through competency grids and investigationof critical incidents.The module assessment comprises:A reflective essay and clinical competencies.Teaching is delivered in OxfordYour Next StepAccess to this Contraception and Sexual Health short course is open to practitioners who meet thefollowing criteria. You must:‣ Be a registered health or social care professional.‣ Have the support of the manager of your practice area.‣ Produce evidence of the ability to study at your proposed level of entry.‣ Be successful in the selection process for this module/course (interview or other).‣ Be employed or have access to a health care setting that will enable achievement of thelearning outcomes.If you meet these criteria, your next step is to submit an application form with all the necessary documentssuch as references. Applications are dealt with on a first come, first served basis. Please act early toavoid disappointment.If you are ready to apply then please request an application pack where you will find a ‘Checklist ofRequired Documents.’Course FeesFunding arrangements vary across the country. Oxford Brookes University has contracts with theSouth Central Strategic Health Authority (covering the geographical areas of Oxfordshire, BerkshireEast and West, and Buckinghamshire) and South West Strategic Health Authority (covering GreatWestern Ambulance Trust, Swindon PCT, Great Western Hospitals NHS Foundation Trust, andWiltshire PCT). Your module fees may be paid if you practice within the areas detailed above.However, before an application can be accepted, the relevant Trust Education Lead must havesigned your funding statement, which is contained within the application pack. For your information,the cost for those students who self fund can be obtained from the Programme Administrator.If you have further queries or require an application pack, please contact:Contraception and Sexual Health Programme AdministratorTel: 01865 482589 or email familyplanning@brookes.ac.ukFor general information about the school visit our website http://shsc.brookes.ac.ukSHSC/CMU: Short course – Family Planning in Practice (100325)

Other study opportunitiesWe offer a full range of post-qualification / postgraduate single modules, short and long awardbearing courses for health and social care professionals. For more information, go to our website:http://shsc.brookes.ac.uk/coursesWhy study at the School of Health and Social Care at Oxford Brookes University?• Oxford Brookes University continues to improve its position in the league tables due to goodgraduate prospects and strong student satisfaction ratings (The Times Good University Guide2010).• Oxford Brookes has been judged one of the greenest universities in the country – according to thestudent campaigning group, People & Planet as detailed in the Times Higher Educationsupplement.• We have a large and dedicated building in Oxford (Marston Road) and a campus in Swindon(Ferndale), Wiltshire equipped with state-of-the-art classrooms and clinical skills simulation suitesand resources.• We have our own osteopathic clinics: Mill Court in Headington, Oxford and at Ferndale Campus inSwindon offering a full range of osteopathic treatments to University students, staff, NHS staff andthe general public. http://shsc.brookes.ac.uk/osteoclinics• Our courses are open to a wide range of health and social care professionals providing highlyflexible continuing professional development (CPD) study opportunities with part-time, full-timeand mixed mode options (including increasing opportunities for e-learning, blended and distancelearning).• The school supports multi and interprofessional learning and teaching, and many of our coursesare either fully multiprofessional or offer excellent opportunities for shared learning.• Our lecturers are experienced in their specialist practice area and maintain excellent practice linkswith those areas locally or across the region.• Many of our lecturers have reputations for excellence and have established links with colleagues,organisations and institutions at national and international level.• The school has a strong research profile, with experienced researchers working in establishedareas in Public Health and Psychosocial Wellbeing (including Children, Young People andFamilies, and Drugs and Alcohol); Rehabilitation and Enablement; Supportive Cancer Care.• Oxford Brookes is rated internationally excellent across a broad range of subjects in the 2008Research Assessment Exercise (RAE). 70% of our research in Allied Health Professions andStudies was rated as being of international significance in the 2008, and of this, 10% was rated asworld-leading.• Oxford Brookes is a student centred institution that is fully committed to each individual achievingtheir potential. To support this, both the school and the university offer a broad range of studentsupport schemes to facilitate learning and development http://www.brookes.ac.uk/studying/life/• The school has been awarded the highest commendation possible, for all its programmes andcourses, by the Quality Assurance Agency, following their Major Review of the school’seducational provision in 2005.• We have an excellent track record of high levels of student satisfaction, low student attrition ratesand high employability.Oxford Brookes University, School of Health and Social Care, Marston RoadOxford Brookes University and the School of Health and Social Care actively support equality ineducation and welcome applications from all people representative of our diverse community.SHSC/CMU: Short course – Family Planning in Practice (100325)

Associate Application Form (M2):notes for guidanceBefore completing the form, PLEASE ENSURE THAT YOUREAD THESE NOTES FOR GUIDANCE CAREFULLY.ExclusionsYou should not use this form when applying for full-time/parttimedegree courses, postgraduate associate modules orpostgraduate degreesCompletion of the formPlease ensure that the form is completed neatly using black ink.Personal detailsComplete this section in BLOCK CAPITALS.Disability or special needsIn the box, please enter the code, which is most appropriate toyou from the list of statements below. Describe your condition inthe space provided and where it is not obvious (ie with unseendisabilities), indicate whether you have special needs.Disabilities/support required:0 None.1 You have a specific learning difficulty (for example, dyslexia).2 You are blind or partially sighted.3 You are deaf or hard of hearing.4 You use a wheelchair or have mobility difficulties.T You have Autistic Spectrum Disorder or Asperger Syndro m e .6 You have mental health difficulties.7 You have a disability that cannot be seen, for example,diabetes, epilepsy or a heart condition.8 You have two or more of the above.9 You have a disability, special need or medical condition thatis not listed above.Criminal convictionsTo help us reduce the risk of harm or injury to our studentscaused by the criminal behaviour of other students, we mustknow about any relevant criminal convictions you have.Relevant criminal convictions are only those convictions foroffences against the person, whether of a violent or sexualnature, and convictions for offences involving unlawfullysupplying controlled drugs or substances where the convictionconcerns commercial drug dealing or trafficking. Convictions thatare spent (as defined by the Rehabilitation of Offenders Act1974) are not considered to be relevant and you should notreveal them (but see the next paragraph).If you are applying for courses in teaching, health, social workand courses involving work with children or vulnerable adults,you must tell us about any criminal convictions, including spentsentences and cautions (including verbal cautions) and bindoverorders. For these courses, you may need an ‘enhanceddisclosure document’ from the Criminal Records Bureau or theScottish Criminal Record Office Disclosure Service. We will sendyou the appropriate documents to fill in.Courses in teaching, health, social work and coursesinvolving work with children or vulnerable adults.For these courses, you must tick the box if any of the followingstatements apply to you.aI have a criminal conviction.b I have a spent criminal conviction.cI have a caution (including a verbal caution).d I have a bindover order.eI am serving a prison sentence for a criminal conviction.If statement e applies to you, you must also give the prisonaddress as your postal address under the personal detailssection of the application form and a senior prison officer mustsupport your application.All other coursesFor these courses, you must tick the box if either of the followingstatements applies to you.aI have a relevant criminal conviction that is not spent.b I am serving a prison sentence for a relevant criminalconviction.If statement b applies to you, you must also give the prisonaddress as your postal address under the personal detailssection of the application form and senior prison officer mustsupport your application.Convictions that are spent (as defined by the Rehabilitation ofOffenders Act 1974) are not considered to be relevant and youshould not reveal them.If you enter a tick in the box you will not be automaticallyexcluded from the application process. However, we may wantto consider your application further or ask for more informationbefore making a decision.If you are convicted of a relevant criminal offence after you haveapplied, you must tell us. Do not send details of the offence,simply tell us that you have a relevant criminal conviction. Wemay ask you for further information.You may find the following website useful: Criminal RecordsBureau www.crb.gov.ukFee statusIf you live in the UK state your area of permanent residence: forScotland, the District or Islands Area (eg Clackmannan); forGreater London, the London Borough (eg Enfield); for the formerMetropolitan counties give the district (eg Sefton); for the rest ofthe UK, the County (eg Dyfed). If you live outside the UK statethe country (eg Italy) where you are living as the area ofpermanent residence.ReferencePlease provide full contact details, failure to do so will result in adelay to your application.Normally your referee would be one of the following:1 The Head of your present or last school2 Principal of your College of Further Education3 Course tutor of your present or last course of studies4 Access course tutorcontinued over page...

If you have been out of education for some time, you may wishto consider one of the following:Your current or last employer, training officer or careers adviser.If you belong to a relevant organisation (voluntary or not), anofficer of that organisation.If you have any difficulty in identifying a suitable referee youshould contact the Admissions Office for advice.EducationEnter the exact subject name used by the examining board in full.Applicants with qualifications obtained in a language other thanEnglish should attach a certified English transcript to the form.Module selectionPlease indicate here the area of interest, or the module(s) youwish to study, specifying both the name(s) and number(s) andthe semester in which the module runs.DeclarationPlease read the declaration on the application form carefully.You must sign it or we cannot process your application. Whenyou sign the form, you agree to follow these conditions:The information you have given is complete and accurate.You have the right to cancel your application through us. Youcan do this by writing to us within 10 working days of the date ofour official offer letter to you.Your application will normally be confidential between:■■■■you, your referees and the appropriate staff at the University;your school, college or training organisation and your examboard or awarding body;your student support assessment body; and/or The StudentLoans Company, if relevant;in the case of international applicants, the British Council orappropriate agency.However, we try to detect and prevent fraud, and have the rightto give outside organisations, including the police, the HomeOffice, local authorities, exam boards or awarding bodies and theBenefits Agency, relevant information from your application form.If we believe that you or your referee have left out anyinformation or given false or misleading information, we may takeany necessary steps to check whether it is accurate orcomplete.We may, at any time, ask you, your referee or your employer toprovide more information about your application (for example,proof of identity, status, qualifications or employment history).We may use information from your application form to collectstatistics. We will not tell any other organisation or publish anyinformation that could identify you.If you accept an offer of a place from the University, you mustaccept the terms and conditions in our prospectus (under‘Conditions and Acceptance’). You must read these terms andconditions carefully.

Modular Pro g r a m m eApplication for a place as an Associate Student on theModular ProgrammeProposedstart datePart-time orfull-timeM2Application Ref No:Personal detailsTitle Mr/Ms/Mrs/MissSurnameFirst nameDate of birthCountry of birthHome addressPostcodeDaytime telephonenumberEmail addressDisability/Special NeedsFee statusCountry of domicile orarea of permanentresidenceApplicants not born in the European Union please state:Date of first entry to the EUDate of most recent entry to the EUDate from which you have been grantedpermanent residence in the EUNationalityReferenceName and address of RefereeDay Month YearPlease enter the appropriate code in this box if youhave a physical or sensory disability which might insome way affect your studies or may require specialfacilities or treatment. (See guidance notes.)Please clarify the type of disability or special needsDaytime telephone number:Student/Employment statusIf student, statecourse and collegeCriminal convictionsIf you have a relevant criminal conviction enter X in the box.(See notes for a definition of relevant criminal conviction.)If staff at Brookes,state Dept and positionIf employed, statewhere and nature of workEducation or other relevant experience from age 16Give names and towns of establishments attended in chronological orderMonthFromYearMonthToYearFull-time orPart-timeExaminations takenExamining bodyExam dateMonth Year Subject LevelResultM2 - 1

Modular ProgrammeModule selectionPlease indicate here the area of your interest, or the module(s) you wish to study, specifying both the name(s) and number(s) and the semester in whichthe module runs. Part-time associates cannot apply for more than five modules over the academic year or 3 modules in any one semester as thiswould be classed as full-time.UUUUUPlease indicate here your reasons for applying to study as an Associate StudentIMPORTANTContinuing as an Associate from one year to the nextIf you are accepted as an Associate Student and you wish to register for further modules each semester or from one year to the next, you will not haveto re-apply on an M2 application form. Further modules should be registered on an M100 form, obtainable from the Student Administration Office orfrom the rack outside the office.DECLARATIONI confirm that the information given on this form is complete and accurate and no information requested or other material information has beenomitted. I give my consent to the processing of my data by Oxford Brookes University. I have read the Conditions of Acceptance laid out in theProspectus and undertake to be bound by those conditions.Applicant’s Signature ....................................................................................................................... Date ....................................................................FOR CO-ORDINATOR’S USECo-ordinator’s decision Unconditional Conditional RejectComments (conditions)M2 - 2

Manager’s Statement of SupportThe purpose of this form is to indicate to the University that the applicant has applied with theknowledge of their manager, and that the student will be provided with placement support wherethe learning outcomes will be achieved. Arrangements regarding study leave and support areentirely between the applicant and their manager.Student name : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Short Course applied for: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Over 1 or 2 years: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .The short course may be taken over a year. There is also the option of studying over twoyears to complete the course, where applicable, subject to your manager's approval.Brief student’s supporting statement for manager’s informationPlease state why you wish to take this course and how it might impact on your professionalpractice.Manager’s agreement to support this candidate’s application for the programme.Thank you for agreeing to provide support to the above student undertaking a post-qualifyingprogramme at Oxford Brookes University. Would you please confirm that the learningopportunities relevant to the learning outcomes/competencies for the programme that thestudent is undertaking are available in the workplace area or through negotiated visits in localplacement areas, by ticking the box.Or, if the student is unable to meet all of the relevant learning outcomes/competencies for theprogrammes in their workplace, identify the area of speciality that they will requireplacement/s in. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .If the student is required to have an alternative placement please confirm it the student has anup-to-date CRB and Occupational Health clearance (please tick box as appropriate). Yes NoManager signature:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Manager’s name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Clinical Area: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Hospital (if applicable): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Manager’s e-mail: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Manager’s telephone number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Name:UK FUNDING STATEMENT TO BE RETURNED WITH THE APPLICATION FORM(please complete ALL sections)Practice area (eg cardiology/GP surgery/community):Your name must appear here identically to how it doeson your health care registration, including middle namesif you have used them.Hospital/Institution (eg John Radcliffe Hospital):Professional body registration number:e.g. NMC PIN, HCP registrationCertificates of attainment cannot be given unless wehave your registration number from your professionalgoverning body.Title of course AND tick relevant box below for level of study: …………………………………………….Associate - number of modules to be taken …… or full short courseDip HE BA BSc BA Hons BSc Hons PG Cert PG Dip MScCourse commencement date: …………………… Intended completion date: ……………………Trust Education Lead’s Signature…………………………………………….. Date……………………Trust Education Lead’s Name (please print)………………………………………………………………Payment, please pick ONE of the following:1. I work within South Central SHA in one of the following Trusts (please tick):Trust Tick Trust TickEast Berkshire Primary Care TrustOxfordshire & Buckinghamshire Mental Health TrustWest Berkshire Primary Care TrustHeatherwood and Wexham Park NHS TrustCommunity Health BuckinghamshireMilton Keynes General Hospital NHS TrustMilton Keynes Primary Care TrustNuffield Orthopaedic Centre NHS TrustOxfordshire Primary Care TrustOxford Radcliffe Hospitals NHS TrustRidgeway Partnership NHS Trust(Learning Disability)Royal Berkshire NHS Foundation TrustBerkshire Healthcare NHS Trust (MentalHealth)South Central Ambulance Service NHS TrustBuckinghamshire Hospitals NHS TrustSouthampton University Hospitals NHS TrustOR I work within South West SHA in one of the following Trusts (please tick):Trust Tick Trust TickWiltshire PCTGreat Western Hospitals NHS Foundation TrustSwindon PCTGreat Western Ambulance TrustI work for the Trust indicated above but I am being funded by the South West SHA through the StrategicServices Improvement Fund (SSIF)OR2. My employer is from out side the above trusts and has agreed to pay my fees.They will supply me with a letter of support with invoice details when I enrol.3. I will be funding myself and will bring payment with me when I enrol. Office use ONLYUniversity course code:Number of modules in current academic year:Number of modules in total :